Volunteer Enrollment Form

* = Required Field


Thank you for your interest in applying to become a volunteer with Big Brothers Big Sisters of Edmonton & Area. Before proceeding with the application please be sure to have contact information ready for 3 - 4 references * Svp note: Si vous avez besoin d`une application en français contactez notre équipe d`inscription au 780.424.8181 A family member A friend who has known you for a minimum of two years A character reference from an employer/teacher/coach/friend who has known you for a minimum of two years. If you do not have an employer/teacher/coach/friend who has known you for two years, please be ready to include a fourth reference of a supervisor/teacher/coach/friend which when combined with reference three equals two years. Please check off the program of interest. Please only select one program.**
Community Based		Site Based













Personal Information

Gender*

First Name*		Last Name*

Address*

City*	Province/State*	Country*	Postal Code*

Home Phone ( ex.780-555-1234)*		Business Phone

Cell Phone		Extension	May we contact you at work?

E-mail Address

Date of Birth (dd/mm/yyyy)*

Emergency Contact*		Phone Number ( ex.780-555-1234)*

Employment Information If you are currently unemployed or are a student, please click no and write "unemployed" or "student" in the Occupation box.
Are you currently employed? Yes No
Occupation*

Employer

Employer Address

Length of time at present employment		Full-time or Part-time?

Volunteer Information

Have you ever applied with Big Brothers Big Sisters?

If yes, please provide agency name and dates volunteered

Have you ever applied/volunteered with any other child/youth serving program?

If yes, please provide agency name and dates

Please list any clubs, churches, organizations or associations you are involved with

Education

High School Attended	College Attended	University Attended	Highest Level Completed

Are you currently attending school?	If yes, where?

Full-time or part-time?	What Faculty?
What area of study?		What year of study?
Recruitment Information How did you hear about us and what prompted you to apply today? Please be specific in your responses - it may help us reach new volunteers and help more kids!


A Current Volunteer, who?	A Co-Worker, who?	Friend, who?	A Family Member, who?
School Presentation, where?	Work Presentation, where?	Online, which website?	Radio, which station?
TV, which channel?	Saw a poster, where?	Newspaper, which paper?	Other, please specify
References: Please provide as much information - phone numbers, mailing addresses and e-mail addresses (if applicable). Also, please ensure that you contact those provided as references and let them know to expect either a phone call, letter or e-mail from the agency.

Reference 1 - Family Member - Known you for at least 10 years

Name:*		Relationship:*

Mailing Address:

City:	Country*	Province/State:*	Postal Code:

Phone: ( ex.780-555-1234)*	Day or Evening?	Alternate Phone ( ex.780-555-1234)*	Day or Evening?
E-mail Address:
Reference 2 - Employer/Teacher/Coach Known you for a minumum of two years (if not please see fourth option below) Reference is, or has been, your supervisor, teacher or coach If this is a former relationship there should still be contact with this person

Name:*		Relationship:*

Mailing Address:

City:	Country:	Province/State:	Postal Code:

Phone: ( ex.780-555-1234)*	Day or Evening?	Alternate Phone:( ex.780-555-1234)	Day or Evening?
E-mail Address:
Reference 3 - Friend - known you for at least two years.



Name:*		Relationship:*

Mailing Address:

City:	Canada	Province/State:	Postal Code:

Phone: ( ex.780-555-1234)*	Day or Evening?	Alternate Phone:( ex.780-555-1234)	Day or Evening?
E-mail Address:
Reference 4 - If you do not have one person who has known you for two years for reference number two, please look at the following criteria for an additional reference.

Another person who is or has been your supervisor, teacher or coach so that this reference combined with the person given in reference two makes a minimum of two years known If you do not have an additional supervisor, teacher or coach, then you may provide a co-worker

Name:		Relationship:

Mailing Address:

City:	Country:	Province/State:	Postal Code:

Phone: ( ex.780-555-1234)	Day or Evening
E-Mail Address:

Please Click here to read Terms of Agreement before submitting your application.
I have read and accept the terms of agreement


After you complete this form & click submit you should receive a confirmation notice in a new window. If you do not receive this, please scroll up the form and correct any errors that will be hilighted in Red. If you have any questions about this application form, please call our Intake office at 424-8181 ext 223 or 225. Thank you.










































































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